Provider Demographics
NPI:1639141377
Name:THE NAPLES ENDOSCOPY ASC LP
Entity Type:Organization
Organization Name:THE NAPLES ENDOSCOPY ASC LP
Other - Org Name:THE ENDOSCOPY CENTER OF NAPLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF GENERAL PARTNER CORP.
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-665-1283
Mailing Address - Street 1:150 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6203
Mailing Address - Country:US
Mailing Address - Phone:239-262-8306
Mailing Address - Fax:239-262-3179
Practice Address - Street 1:150 TAMIAMI TRL N
Practice Address - Street 2:SUITE 1
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6203
Practice Address - Country:US
Practice Address - Phone:239-262-8306
Practice Address - Fax:239-262-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL913261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF1164Medicare PIN